Provider Demographics
NPI:1780844985
Name:CHRISTIAN, DARRYL BRIAN (MA, MFT)
Entity Type:Individual
Prefix:MR
First Name:DARRYL
Middle Name:BRIAN
Last Name:CHRISTIAN
Suffix:
Gender:M
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 AUBURN CT
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-3619
Mailing Address - Country:US
Mailing Address - Phone:818-364-5646
Mailing Address - Fax:
Practice Address - Street 1:128 AUBURN CT
Practice Address - Street 2:SUITE 201
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-3619
Practice Address - Country:US
Practice Address - Phone:818-364-5646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38204106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist